Individual
DIEGO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 SW 3RD ST # AT1101, MIAMI, FL 33130-2995
(786) 247-5457
Mailing address
90 SW 3RD ST # AT1101, MIAMI, FL 33130-2995
(786) 247-5457
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11014787
FL
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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